Follow-up echocardiography studies demonstrated that LV function had returned to normal (figures 4 and 5).

Clinical features and pattern of recovery was consistent with Takotsubo cardiomyopathy. This clinical entity, although rare, has been more prevalent in Japan.1 There are a few case reports describing Caucasian patients affected by this disorder.2,3 The aetiology of Takotsubo cardiomyopathy remains unclear. It is a diagnosis of exclusion. Most of the patients recover after one to two months without serious sequelae.